Browsing by Author "Celik, Halil Ibrahim"

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Impact of Prematurity and Maternal Bonding on Sensory Processing at 12 Months
(MDPI, 2025) Yildiz, Ayse; Yildiz, Ramazan; Basaran, Zekiye; Atalan Efkere, Pelin; Zorlular, Rabia; Celik, Halil Ibrahim; Elbasan, Bulent
Background/Objectives: This study examined the relationship between sensory processing skills, mother-infant bonding, and prematurity in 12-month-old infants. Methods: Twentytwo preterm infants with gestational age <34 weeks and 20 term infants were included in the study. At four months, mothers evaluated their bonding with infants using the Mother-to-Infant Bonding Scale (MIBS). At the age of 12 months, the sensory processing skills of infants were assessed using the Test of Sensory Functions in Infants (TSFI). Results: MIBS scores were significantly higher in the preterm group compared to the term group (p < 0.01). TSFI total scores and subdomains (tactile deep pressure, adaptive motor function, and vestibular stimulation) were significantly lower in preterm infants (p = 0.01, p = 0.02, p = 0.01, and p = 0.03, respectively). Multiple linear regression revealed that each one-point increase in bonding score (weaker bonding) was associated with a-0.65 decrease in the TSFI total score, a-0.61 decrease in tactile deep pressure, and a-0.63 decrease in vestibular stimulation scores, independent of gestational age. Conclusions: This study concluded that mother-to-infant bonding is associated with sensory processing skills, especially in the vestibular and tactile domains. Additionally, prematurity was found to be related to sensory processing.
Using the Center of Pressure Movement Analysis in Evaluating Spontaneous Movements in Infants: A Comparative Study with General Movements Assessment
(BMC, 2023) Celik, Halil Ibrahim; Yildiz, Ayse; Yildiz, Ramazan; Mutlu, Akmer; Soylu, Ruhi; Gucuyener, Kivilcim; Elbasan, Bulent
Background: Researchers have attempted to automate the spontaneous movement assessment and have sought quantitative and objective methods over the past decade. The purpose of the study was to present a quantitative assessment method of spontaneous movement using center-of-pressure (COP) movement analysis.Methods: A total of 101 infants were included in the study. The infants were placed in the supine position on the force plate with the cranial-caudal orientation. In this position, the recording of video and COP movement data were made simultaneously for 3 min. Video recordings were used to observe global and detailed general movement assessment (GMA), and COP time series data were used to obtain quantitative movement parameters.Results: According to the global GMA, 13 infants displayed absent fidgety movements (FMs) and 88 infants displayed normal FMs. The binary logistic regression model indicated significant association between global GMA and COP movement parameters (chi-square = 20.817, p < 0.001). The sensitivity, specificity, and overall accuracy of this model were 85% (95% CI: 55-98), 83% (95% CI: 73-90), and 83% (95% CI: 74-90), respectively. The multiple linear regression model showed a significant association between detailed GMA (motor optimality score-revised/MOS-R) and COP movement parameters (F = 10.349, p < 0.001). The MOS-R total score was predicted with a standard error of approximately 1.8 points (6%).Conclusions: The present study demonstrated the possible avenues for using COP movement analysis to objectively detect the absent FMs and MOS-R total score in clinical settings. Although the method presented in this study requires further validation, it may complement observational GMA and be clinically useful for infant screening purposes, particularly in clinical settings where access to expertise in observational GMA is not available.